| Health Fit M.d. Wellness & Weight Loss | |
|
12261 Highway 49 Suite 6 Gulfport MS 39503-2975 | |
| (228) 206-0542 | |
| (228) 206-0550 |
| Full Name | Health Fit M.d. Wellness & Weight Loss |
|---|---|
| Speciality | Clinic/center |
| Location | 12261 Highway 49, Gulfport, Mississippi |
| Authorized Official Name and Position | Matthew Joseph Shannon (PRESIDENT/CFO) |
| Authorized Official Contact | 5013396067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Fit M.d. Wellness & Weight Loss 12261 Highway 49 Suite 6 Gulfport MS 39503-2975 Ph: (228) 206-0542 | Health Fit M.d. Wellness & Weight Loss 12261 Highway 49 Suite 6 Gulfport MS 39503-2975 Ph: (228) 206-0542 |
| NPI Number | 1881134740 |
|---|---|
| Provider Enumeration Date | 02/26/2017 |
| Last Update Date | 02/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881134740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 18668 (Mississippi) | Primary |
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